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management diagnosis anesthesiology intraoperative criticalcare differential airway intubation cardiac procedure pulmonary supply acidosis alkalosis evaluation failure hyperthermia icucard interpretation noninvasive
Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
↓SpO2 • High work ... poor air flow • ABG ... : - High pCO2 ... Abnormally normal ABG ... with increased work
Capnography Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
on an ABG) The ... anatomical dead space ventilation ... with alveolar ventilation ... Ill — alveolar ventilation ... during mechanical ventilation
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia Evidence of fire (smoke, heat, odour, flash, flame)
fire • Bring CO2 ... • Discontinue ventilation ... • Re-establish ventilation ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Do you need an ABG ... approximates an ABG ... and ~5 mmHg to pCO2 ... Decreased Mechanical Ventilation ... Disorders #Evaluation #workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia Unexpected total power failure is rare and unpredictable.
B). ❹ Ensure ventilation ... continues: • Manual ventilation ... to spontaneous ventilation ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
Index CARDIAC WORK ... RCWI Cardiac Work ... 0.0144 Cardiac Work ... Ventricular Stroke Work ... VT*RR Minute Ventilation
Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... normalize the ABG ... than monitoring ABG ... to “blow off” CO2 ... #Noninvasive #Ventilation
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 Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Rapidly confirm ventilator ... • If expired CO2 ... using reservoir bag ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia Hypertension is most commonly due to inappropriate depth of
confirm reservoir bag ... moving OR ventilator ... using reservoir bag ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Checklist for Evaluation ... differential - ABG ... tox/infectious workup ... nonconvuIsive status #Checklist ... Delirium #Evaluation #Workup
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